Employment Application

Employment Application

Corporate Headquarters
124 East Main Street
Riverton, Wyoming 82501


INBERG-MILLER ENGINEERS is an at-will employer and retains the

absolute right to terminate me, at any time, with or without good cause

APPLICANT NOTE This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of a guide or support animal because of blindness, deafness or physical handicap, or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be examined by a medical professional designated by the company.







AVAILABILITY














JOB-RELATED SKILLS





If the job requires, do you have the appropriate valid drivers license?




















SECURITY

















PREVIOUS EMPLOYERS
PLEASE NOTE. Your application will not be considered unless every question in this section is answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are critical .

PREVIOUS EMPLOYERS





Are you currently working for this employer?





If yes, may we contact?

SECOND MOST RECENT EMPLOYER

THIRD MOST RECENT EMPLOYER 1

REFERENCES
Include only individuals familiar with your work ability. Do not include relatives







EDUCATION















CERTIFICATION AND RELEASE
Ertify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejections of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information. I authorize all former employers, persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.